Individual ProviderSamantha VersakosSpecialistOther Service ProvidersPractice Address1124 73rd St, Brooklyn, NY 11228-2013(718) 772-5005PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Versakos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1487542254Provider TypeIndividualFull NameVersakos, SamanthaCredentialM.S SLPGenderFemaleSole ProprietorNoEnumeration Date6/27/2025Last Updated6/27/2025Contact InformationPractice LocationPractice Address1124 73rd St, Brooklyn, NY 11228-2013Phone(718) 772-5005FaxUnlisted FaxMailing LocationMailing Address1124 73rd St, Brooklyn, NY 11228-2013PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer